Individual
CHARLES A MUSGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2570 NW EDENBOWER BLVD, SUITE 100, ROSEBURG, OR 97471-6214
(541) 957-1111
(541) 957-5705
Mailing address
PO BOX 1247, 2570 NW EDENBOWER BLVD SUITE 100, ROSEBURG, OR 97470-0310
(541) 957-1111
(541) 957-5705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00770
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202220
IND INDUSTRIAL WA STATE
WA
01
—
J406426
IND PACSOURCE
OR
Enumeration date
02/08/2006
Last updated
01/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us